PMID- 32574481
OWN - NLM
STAT- MEDLINE
DCOM- 20210414
LR  - 20210414
IS  - 1537-4505 (Electronic)
IS  - 1531-7129 (Linking)
VI  - 41
IP  - 6
DP  - 2020 Jul
TI  - Outcomes Following Revision Stapes Surgery in Children: A Single-Surgeon, 
      Single-Center 15-Year Experience.
PG  - e720-e726
LID - 10.1097/MAO.0000000000002660 [doi]
AB  - OBJECTIVE: To review a single surgeon experience with revision pediatric stapes 
      surgery for congenital stapes fixation (CSF) and tympanosclerosis (TS). Secondly, 
      to determine whether hearing outcomes following revision surgery may be predicted 
      by a thorough work-up aimed at assessing whether an extruded or malpositioned 
      prosthesis is likely to be encountered intraoperatively. SETTING: Tertiary 
      referral center. STUDY DESIGN: Retrospective chart review. PATIENTS: Fifteen 
      patients having revision surgery for fixation of the stapes footplate over a 
      15-year period. MAIN OUTCOME MEASURES: Hearing results based on pre- and 
      post-revision pure-tone average air-bone gap (PTA-ABG) and speech recognition 
      threshold testing (SRT). RESULTS: Overall, the mean improvement of PTA-ABG 
      following revision surgery was 11.9 dB (standard deviation [SD] 15.2) while SRTs 
      improved by a mean of 12.3 (SD 19.9). Outcomes were significantly better in 
      patients who reported a history of trauma following their initial surgery, when 
      there was otoscopic evidence of an extruding or extruded prosthesis and/or a 
      pre-revision CT (where performed) suggested an extruded or malpositioned 
      prosthesis. No patients had a significant postoperative sensorineural hearing 
      loss. CONCLUSION: Revision stapes surgery in children is a safe procedure in 
      experienced hands which nonetheless should only be contemplated in patients in 
      whom preoperative work-up suggests an extruded or malpositioned prosthesis is 
      likely to be encountered intraoperatively.
FAU - Jervis-Bardy, Joshua
AU  - Jervis-Bardy J
AD  - Division of Otology and Neurotology, Department of Otolaryngology-Head and Neck 
      Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
FAU - Gau, Victoria L
AU  - Gau VL
FAU - Allsopp, Tristan
AU  - Allsopp T
FAU - King, Deanne
AU  - King D
FAU - Page, Joshua Cody
AU  - Page JC
FAU - Dornhoffer, John L
AU  - Dornhoffer JL
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Otol Neurotol
JT  - Otology & neurotology : official publication of the American Otological Society, 
      American Neurotology Society [and] European Academy of Otology and Neurotology
JID - 100961504
SB  - IM
MH  - Child
MH  - Humans
MH  - *Ossicular Prosthesis
MH  - *Otosclerosis/surgery
MH  - Reoperation
MH  - Retrospective Studies
MH  - Stapes
MH  - *Stapes Surgery
MH  - *Surgeons
MH  - Treatment Outcome
EDAT- 2020/06/24 06:00
MHDA- 2021/04/15 06:00
CRDT- 2020/06/24 06:00
PHST- 2020/06/24 06:00 [entrez]
PHST- 2020/06/24 06:00 [pubmed]
PHST- 2021/04/15 06:00 [medline]
AID - 00129492-202007000-00024 [pii]
AID - 10.1097/MAO.0000000000002660 [doi]
PST - ppublish
SO  - Otol Neurotol. 2020 Jul;41(6):e720-e726. doi: 10.1097/MAO.0000000000002660.